Individual
EPHRAIM TIMOTHY KENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 MEDICAL PKWY, STE 308, DALLAS, TX 75234-7855
(972) 888-7240
(972) 888-7285
Mailing address
9 MEDICAL PKWY, STE 308, DALLAS, TX 75234-7855
(972) 888-7240
(972) 888-7285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K8776
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043101701
—
TX
05
—
043101702
—
TX
Enumeration date
04/03/2006
Last updated
12/28/2012
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